摘要
目的分析以健康信念模式为理论框架个案管理模式在SuperPATH微创全髋关节置换术患者中的应用效果。方法将2018年1月—2019年3月在本院住院的以SuperPATH入路方式实施全髋关节置换术患者42例设为对照组,实施常规的护理措施;2019年4月—2020年6月在本院住院的以SuperPATH入路方式实施全髋关节置换术患者42例设为观察组,实施以健康信念模式为理论框架个案管理模式,两组干预时间6个月。在术前、术后24h对患者的疼痛进行评分及评定其术后24h疼痛缓解时间;出院时、出院3个月、出院6个月对两组患者髋关节功能和日常生活能力进行测评和比较。结果术后24h观察组患者疼痛评分低于对照组,疼痛缓解时间长于对照组,两组比较,差异有统计学意义(均P<0.001)。出院时、出院3个月、出院6个月不同时间点两组患者的髋关节功能评分和日常生活能力评分重复测量结果显示:处理效应、时间效应、处理与时间的交互效应均有统计学意义(均P<0.001),并且出院时、出院3个月、出院6个月不同时间点观察组髋关节功能评分和日常生活能力评分均高于对照组(均P<0.001)。结论以健康信念模式为理论框架个案管理模式可降低SuperPATH微创全髋关节置换术患者术后疼痛程度,改善患者的髋关节功能及提高患者自理能力。
Objective To analyse the clinical effect of case management based on the health belief model in the patients who had the surgery of supercapsular percutanously assisted total hip(superPATH).Methods Forty-two patients who underwent the superPATH surgery and under routine nursing procedures in our hospital from January 2018 to March 2019 were enrolled as the control group.Another group of 42 patients who underwent the same surgery in our hospital from April 2019 to June 2020 were enrolled as the observation group and put under the case management based on the health belief model.The pain was scored before the surgery and 24 hours after the surgery.The time of pain relief was assessed at the 24 hours after the surgery.Both of the postoperative caring methods lasted for 6 months.The hip joint function and activities of daily living(ADL)were evaluated and compared between the groups at the discharge,3 months and 6 months after the surgery.Results At the 24 hours after surgery,the pain score of the observation group was lower than that of the control group and the pain relief time was longer than that in the control group,both with statistically significant difference(P<0.001).The scores of hip function and ADL at the time of discharge,3 months and 6 months after surgery showed that the treatment effect,time effect and the interaction effect of treatment and time had statistically significant difference(P<0.001).In addition,the scores of hip joint function and ADL in the observation group were higher than those in the control group at the time of discharge,3 months and 6 months after surgery(P<0.001 for all).Conclusion The case management based on the theoretical framework of health belief model can reduce the postoperative pain,improve the hip function and improve the self-care ability of the patients after the initial THA with superPATH.
作者
古桂芳
钟丽清
李志雄
Gu Guifang;Zhong Liqing;Li Zhixiong(Wuhua People's Hospital,Meizhou,514400,China)
出处
《现代临床护理》
2021年第6期19-24,共6页
Modern Clinical Nursing
基金
梅州市社会发展科技计划项目,项目编号为2020B050。
